IndividualActive
Glen Carlson, MD
NPI 1710954698 · Anatomic Pathology Physician · Atlanta, GA
Provider details
- NPI number
- 1710954698
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- 032149 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1968 Peachtree Rd Nw
Atlanta, GA 30309
Phone: (404) 605-3247
Fax: (404) 609-6645
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 491028
Lawrenceville, GA 30049
Registry dates
- Enumerated
- 2006-03-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.